ankle 4 - test and measures

Question 1

what is the FAAM

Answer 1

a self-report outcome instrument developed to assess physical function for individuals with foot and ankle related impairments

Question 2

what is the onset like for sprains and fractures

Answer 2

sudden traumatic onset

high velocity of ankle displacement

Question 3

what is the onset like for overuse injuries

Answer 3

slow gradual onset

associated with rep activity

Question 4

functional limitation for sparin and fractures

Answer 4

WB

gait

and possiblity of lateral involvement

Question 5

what are the funtional limitations for overuse syndromes

Answer 5

generally limited after a certain amount of activity

Question 6

what is a order of an ankle examination

Answer 6

ROM
strength
palpation
special tests
gait

Question 7

what can we look at statically when observing the ankle

Answer 7

foot - arch, forefoot, rearfoot, pronation, supination

tibia - IR, ER, varus or valgus

femur - IR or ER

pelvis - asym landmarks

Question 8

what can we notice with someones gait

Answer 8

pronation

supination

step length

heel strike

DF/PF

dynamic knee valgus

femoral motion

pelvic control

Question 9

pronation - flexible or stiff

Answer 9

flexible

Question 10

supination - flex or stiff

Answer 10

stiff

seen during toe off

Question 11

what is the anterior drawer test for

Answer 11

anterior stability

lateral or medial ligament testing

Question 12

what is the talar tilt test for

Answer 12

medial or lateral ligament

Question 13

what is the ER test for

Answer 13

distal tib fib joint

Question 14

what is the impingement test for

Answer 14

sinus tarsi sundrome

Question 15

what is the thompson test for

Answer 15

achilles tendon rupture

Question 16

what is the compression test for

Answer 16

high ankle sprain

Question 17

what is the procedure for the anterior drawer test

Answer 17

pt is sitting or supine

stablize the distal leg anteriorly

grasp the distal foot (calacaneus) in the OPP of the ankle and mobilze forawrd

Question 18

what is the anterior draw test for

Answer 18

testing for ligamentous laxity

Question 19

which ligament is most tested with the anterior drawer test

Answer 19

Anterior Talo-Fibular Ligament

Question 20

what is a positive ant drawer test

Answer 20

the talus sublexes or translates anteriorly

Question 21

what impairment are used to test with the anterior drawer

Answer 21

eversion sprain

inversion sprain

Question 22

what is a test for the lateral lig of the ankle

Answer 22

inversion sprain

the talar tilt test - also used for eversion sprains

Question 23

what is the procedure for the talar tilt test

Answer 23

pt is sitting or supine

distal leg is stablized and the ankle is inverted - quickly

Question 24

what is a positive talar tilt test

Answer 24

pain and laxity

Question 25

what is the grading of the laxity seen in the talar tilt test

Answer 25

0 - no laxity 3- lot of laxity

Question 26

what is the impigment test for

Answer 26

sinus tarsi syndrome

Question 27

what is the procedure for sinus tarsi syndrome

Answer 27

hands- calcaneus in one hand, forefoot in the other hand bring the foot into PF place thumb into the sinus tarsi maintain this pressure and bring the foot into PF and Df

Question 28

what is a positive impigment test

Answer 28

pain provoked from pressure of the thumb greater in DF the PF

Question 29

what is an another name for syndesmotic injuries

Answer 29

high ankle sprain

Question 30

what is a the test for high ankle sprains

Answer 30

external rotation test compression test

Question 31

what is the procedure for the ER test

Answer 31

pt seated or supine stabilize the leg PT maintains DF and ER of the foot

Question 32

what is a postive ER test

Answer 32

pain in the area of the syndesomis - ant or post over the interosseus

Question 33

what is the compression test procedure

Answer 33

compress and release the tib and fib together until mid way up the calf

Question 34

do we start low or high for the compression test

Answer 34

low high - provoke more seperation and therefore more pain

Question 35

what is the test for an achilles injury

Answer 35

the calf squeeze test/thompson test

Question 36

what is the purpose of the thompson/calf squeeze test

Answer 36

to detect a achilles rupture

Question 37

what is the procedure for the calf squeeze test

Answer 37

the patient is prone and gently squeeze the calf

Question 38

what are we looking for with the calf squeeze test, what is a positive test

Answer 38

normal - the foot PF with the squeeze positive: min PF relative to the other side

Question 39

how do we get to subtalar neutral

Answer 39

the position where the subtalar, talonvicular, and the calcanealcuboid are congruous centering the navicular on the talus the dome are neutral

Question 40

for achilles tendionpathy what do we palpate

Answer 40

mid portion intertion point lateral and deep to the tendon to get to the fat pad

Question 41

what are we looking for with palpation and achilles tendionpathy

Answer 41

recreation of patient pain at the midportion or the insertion of the tendon

Question 42

what is the royal london hospital test procedure

Answer 42

pt prone with the foot off of the table Pinch along the tendon to find most palpable location Release pressure on tendon and have pt actively dorsiflex Pinch same location with foot in dorsiflexion

Question 43

what is a positive test for the royal london

Answer 43

Reduced pain with foot dorsiflexed

Question 44

what is the procedure for arc sign

Answer 44

prone with the foot off of the table lightly pinch the tendon looking for any nodules in the tendon - bumps have the patient activily PF and DF

Question 45

what is a postive test for arc sign

Answer 45

Nodule moves out from between fingers